Individual
DENISE FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
1400 W GREENLEAF AVE, TRILOGY, INC, CHICAGO, IL 60626-2805
(847) 440-1795
Mailing address
1400 W GREENLEAF AVE, TRILOGY, INC, CHICAGO, IL 60626-2805
(847) 440-1795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014189
IL
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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